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CH10717C PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC. (Active)
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Main Details
Name
PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC.
Subdivision Name
Peninsula Community Health Services of Alaska - Dental
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005568
340B ID
CH10717C
Grant Number
H80CS01139
Additional Details
Current Program Status
Active
Registration Date
10/7/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/9/2024
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Peninsula Community Health Services of AK
Benjamin Wright, Chief Executive Officer
(907) 260-7314
Primary Contact
Peninsula Community Health Services
Michelle J McKay, 340B Program Coordinator
(907) 260-7372
Addresses
Street Address
395 Main Street Loop
Kenai, AK 99611-7727
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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